Provider Demographics
NPI:1033604806
Name:DONAHUE, WILLIAM F (MS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:F
Last Name:DONAHUE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:FRANCIS
Other - Last Name:DONAHUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2822 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1507
Mailing Address - Country:US
Mailing Address - Phone:303-953-2299
Mailing Address - Fax:303-955-8830
Practice Address - Street 1:2822 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1507
Practice Address - Country:US
Practice Address - Phone:303-953-2299
Practice Address - Fax:303-955-8830
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0108160101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1932596889OtherORGANIZATIONAL NPI